C09987379 / invoice 10000

Present for reassessmenthad vomiting and diarrhea (appears to be large bowel) over the weekendnow welldiet - is consistent, has swapped to roo meat only (cooked), but too many treats including chicken flavoured things.  Various dental chews and arthritis treats.Possibly fibre lacking in diet.  Has sourced online probiotic as well.O has noticed 2 growths: epidermal growth - medial thigh R HL and on dorsal neckusing elocon twice weekly - working wellotherwise wellAssessment:  Stable and comfortable on exam today, no abdominal discomfort, normothermic, and eating againhips uncomfortable on extension - need to up analgesia options moving forward (o not keen for cartrophen and hold off NSAID for now). intermittent vomiting/diarrheaclient discussion - diet, we need to possibly reduce more of the richer treats and stick to single protein.  Also source medical grade probioitic - text info for synbiotic DC.O is really wanting to pursue an ultrasoundplanreferral submitted for USelocon 0.1-0.2ml both ears twice weekly to prevent OEdiet recommendations as aboverestart 4cyte and osteocare, reassess osteo in next 2-3m    Vital Signs    Weight: 9;       MMColour: Pink;       RespirationRate: 28;       HeartRate: 120;       HeadEyes: Normal;       Skin: Normal;       MusculoSkeletal: Abnormal (painful hip extension bilaterally);       Ears: Normal (otoscopic exam NSF);       LymphNodes: Normal;       Heart: Normal;       Lungs: Normal;       Abdomen: Normal (comfortable on palpation);       RectalGenetalia: Normal (brown stools on thermometer);       Demeanour: BAR;       Gingivitis: 1;       Calculus: 1;       Observation: Normal;       Temperature: 38.2;       BodyScore: 5;       DentalGrade: 1;       CRT: 1-2;